Richard D Lane, MD, PHD | |
1501 N Campbell Ave, Tucson, AZ 85724-0001 | |
(520) 626-7664 | |
(520) 626-4010 |
Full Name | Richard D Lane |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1501 N Campbell Ave, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407953961 | NPI | - | NPPES |
298754 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 19705 (Arizona) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Richard D Lane, MD, PHD 2701 E Elvira Rd, Tucson, AZ 85706-7124 Ph: (520) 874-4135 | Richard D Lane, MD, PHD 1501 N Campbell Ave, Tucson, AZ 85724-0001 Ph: (520) 626-7664 |
Jim Seymour, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4110 W Sweetwater Dr, Tucson, AZ 85745 Phone: 520-743-2150 | |
Cristina Irene Matei, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 Fax: 520-838-3662 | |
Dr. Jose M Santiago, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2202 N Forbes Blvd, Tucson, AZ 85745 Phone: 520-872-7780 Fax: 520-872-7847 | |
Dr. Tyler Robert Shiflett, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2200 E River Rd Ste 112, Tucson, AZ 85718 Phone: 520-888-3553 | |
Erica Esther Gonzalez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-7520 | |
Dr. Nelson Ricardo Rosario-leon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1601 W. St. Mary's Rd, Unit 2 North St. Mary's Hospital, Tucson, AZ 85795 Phone: 520-872-4910 Fax: 520-872-5495 | |
Kayse Cole Budd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-6000 |